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EHD Program Facility Records by Street Name
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DIAMOND
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1050
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2900 - Site Mitigation Program
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PR0001781
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Entry Properties
Last modified
7/3/2019 11:57:51 AM
Creation date
7/3/2019 10:33:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0001781
PE
2960
FACILITY_ID
FA0004090
FACILITY_NAME
DIAMOND WALNUT GROWERS INC
STREET_NUMBER
1050
STREET_NAME
DIAMOND
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
155 320 19 5
CURRENT_STATUS
01
SITE_LOCATION
1050 DIAMOND ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)I CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAL AGENCY USE ONLY ; <br /> REPORT BEEN FLED 7 '1 HEREBY CERTIFY THAT i AM A DESIGNATED GOVERNMENT EMPLOYEE AND THAT(HAVE <br /> Q <br /> YES 1� Q YES Q NO ..REPORTED THIS.INFORMATION TO LOCAL OFFICIALS.PURSUANT TO SECTION 2S1BB7 OF <br /> REPORT�DDATE CASEl THE HEALTH AND SAFTY 6E <br /> Q u O V v � v SIGNED <br /> R � �� eWT� <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATURE <br /> REPRESENTING O OWNEWOPERATOR O REGK)NALSOARD COMP <br /> ANY OR AGENCY NAME <br /> i ""'w AGENCY O OTHER <br /> ADDRESS <br /> • `�' M1 TREU CITY �/ �" WATE ZIP / <br /> NAME CONTACTPERSSOON/ Q ( PHONE �//��.� <br /> ADDRESS 417 DUNK/NfO/W�N�/y�///� �N� (1^ ![LW /I�7w7- Y.060 <br /> STREET " • /'//Y(C//✓/l C" VI WATE `!; 5&7v/ <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> v ( I <br /> i ADDRESS <br /> li <br /> STREET CRY COUMY <br /> E, CROSS STREET TYPE OF AREA MMERCIAL O INDUSTRIAL O RURAL TYPEOFBUSINESS RETAIL FUELSTATION <br /> RESIDENTIAL O OTHER O FARM THER <br /> LOCALAGENCY AGENCY NAME CONTACTPERSON PHONE <br /> 3 <br /> REGIONAL BO,A,RD�/ ,,_ PHONE <br /> m (1) NAME QUANTITY LOST(GALLONS) <br /> LJ�NNNDWN <br /> (�) <br /> UNKNOWN <br /> Z DATE DI OVER ((// 110 DISCOVERED O INVENTORYCONTROL BS <br /> SUURFACE MONITORING O NUISANCECONDITIONS <br /> 2�il M u , D o d r v O TANK TEST O TANK REMOVAL O OTHER <br /> DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> w M mi Di ol vi Yl UNKNOWN REMOVECONTENTS O REPLACE TANK O CLOSE TANK <br /> Q HAS DISCHARGE BEEN STOPPED 7 N <br /> IRTIWK El REPAIRPPG E] CHANGE PROCEDURE <br /> p O YES E -J IF YES,DATE M M o o v v OTIER <br /> u� SOURCE OF DISCHARGE TANKS ONLY)CAPACITY MATERIAL CAUSE(S) <br /> O TANK LEAK UNKNOWN !(lO(J SUU(�pAL, FIBERGLASS O OVERFILL O RUPTUREIFALURE <br /> O PIPING LEAK AGE VPS STEEL O CORROSION O�NOWN <br /> O OTHER UNKNOWN 5�J OTHER (?CMC/elPi O SPILL O OTHER <br /> w CHECKONEONLY <br /> O UNDETERMINED [tj'<L ONLY O GROUNDWATER O DRINKING WATER- (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> F CHECK ONE ONLY <br /> ` O SITE INVESTIGATION IN PROGRESS(DEFINING EXTENT OF PROBLEM) O CLEANUP IN PROGRESSO SIGNEDOFF(CLEAN�UP COMPLETED OR UNNECESSARY) <br /> VIR O NOACTIONTAKEN O POST CLEANUP MONITORING IN PROGRESS O NO FUNDS AVAILABLE TO PROCEED EU/EVALUATINGCLEMIWALTERNATIVES <br /> CHECK APPROPRIATE ACTION(S)(SEE BACK FOR DETAILS) <br /> 3 O CAP SITE(CD) O EXCAVATE806POSE(ED) O REMOVE FREE PRODLrT(FP) O ENHANCEDBIODEGRADATKNJ(IT) <br /> X$j O CONTAINMENT BARRIER(06) EXCAVATE&TREAT(ET) O PU &TREAT GROUNDWATER(GT) REPLACE SUPPLY IRS) <br /> O TREATMENT AT HOOKUP(HU) O NO ACTION REQUIRED INA) OTHER OT) <br /> -sv66n a mleS '1Z �2sv/ /ev erg2 <br /> Witt' 6C d7..�/ Cap// 4%1 ' >Q• �.efiY'.z �lr'3 •Pssrrnar� <br /> �a- <br /> KSca51Ae11 <br />
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